| NPI | 1841681871 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN-0992183-NP)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 129301)  | 
| Enumeration Date | 2015-02-12 | 
| Last Update Date | 2016-12-09 |